Dr Joan Lyn Family Medicine P a

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

06000059 Issued in FL

Legal business name

DR JOAN LYN FAMILY MEDICINE P A

Practice address

17 NW 168TH St
North Miami Beach, FL 33169-6027

Phone

(786) 955-6089

Fax

(786) 955-6091

NPI assigned

Jan 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joan Yvonne Lyn, D.O.NPI 1871666214

Title

Owner

Phone

(954) 967-0774

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Dr Joan Lyn Family Medicine P a2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr Joan Lyn Family Medicine P a

  • Primary Care Clinic/Center
  • North Miami Beach, FL
  • NPI 1114383197
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joan Yvonne Lyn, D.O.

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1871666214

  Single Specialty

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1689731432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6488 SW 25TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232800",
            "telephone_number": "954-967-0774",
            "fax_number": "954-967-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NW 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696027",
            "telephone_number": "786-955-6089",
            "fax_number": "786-955-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOAN LYN FAMILY MEDICINE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "LYN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-967-0774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "06000059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjoanlynfamily@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "17 NW 168th St",
            "city": "North Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331696027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Primary Care Clinic/Center in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.